OSGOOD- SCHLATTER DISEASE

Rahmir Meggett

What is Osgood Schlatter Disease ?

Osgood-Schlatter disease is a painful condition that affects the upper part of the shin bone. It most commonly occurs in teenagers who play a sport; such as basketball, track , soccer etc. Osgood Schlatter Disease causes pain, inflammation and swelling just below the knee going into the tibia.
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What are the symptoms ?

The main symptom is painful swelling over a bump on the lower leg bone (shinbone). Symptoms occur on one or both legs.

You may have leg pain or knee pain, which gets worse with running, jumping, and climbing stairs.

The area is tender to pressure, and swelling ranges from mild to very severe.

How is it diagnosed ?

During the physical exam, your doctor will check your child's knee for tenderness, swelling, pain and redness. X-rays may be taken to look at the bones of the knee and leg and to more closely examine the area where the kneecap tendon attaches to the tibia. If the doctor feel like a ligament in the knee is partially or completely teared, he will suggest getting an MRI for further examination. Sometimes a tiny piece of the growth area of the tibial attachment is actually pulled away by the inflamed tendon.

What is the Treatment ?

Osgood- Schlatter disease will almost always goes away on its own once the child stops growing.

Treatment includes:

  • Rest and decreasing activity when your child has symptoms
  • Putting ice over the painful area two to four times a day, and after activities
  • Ibuprofen or other nonsteroidal anti-inflammatory drugs (NSAIDs), or acetaminophen (Tylenol).

In many cases, the condition will get better using these methods.

Adolescents should be allowed to play sports if the activity does not cause too much discomfort. However, symptoms will improve faster if activity is kept to a minimum. Sometimes, a child will need to take a break from most or all sports for 2 or more months.

In the rare case where symptoms do not go away, a cast or brace may be used to support the leg until it heals. This typically takes 6 - 8 weeks. Crutches may be used for walking to keep weight off the painful leg.

Rarely, surgery may be needed.

How is it inherited ?

Inheritance of Osgood-Schlatter Disease refers to whether the condition is inherited from your parents or "runs" in families. The level of inheritance of a condition depends on how important genetics are to the disease. Strongly genetic diseases are usually inherited, partially genetic diseases are sometimes inherited, and non-genetic diseases are not inherited. However, there are no genetic screen tests.

What is the patients life span ?

Osgood- Schlatter disease does not affect a patient's lifespan. However, it will take possibly up to 2 years to fully recover from it.